|Contract Number:||Order Number:|
|VDR/SVDR Serial Number:|
|Date of Installation:|
|Manufacturer of Capsule (FRM/HSM):|
|Model of Capsule (FRM/HSM):|
|Serial Number of Capsule (FRM/HSM):|
|Indicate any present or recent alarms displayed by the VDR/SVDR|
|Note any change of the bridge navigational equipment since the last survey ie… GPS, Gyro…|
|Indicate the last replacement date of the VDR/SVDR internal back up batteries.|
|Indicate the expiration date of the beacon|
DEFICIENCIES (IF ANY)
Provide a postal address where the Certificate of Compliance can be sent if the APT is successful.
- Please make sure all navigational equipment is switched on 12 hours prior to the scheduled time for the APT.
- On completion of vessel maneuvering perform an Emergency backup to capture the data.
Failure to complete this form and report accurately may result in the APT having to be stopped until such time as any found deficiencies are corrected.